Active NPI
Harrisonburg Operations LLC
Doing business as Harrisonburg Health & Rehabilitation Center
- Skilled Nursing Facility
- Harrisonburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- HARRISONBURG OPERATIONS LLC
- Doing business as
- Harrisonburg Health & Rehabilitation Center
- Practice address
- 1225 Reservoir St
Harrisonburg, VA 22801-4415 - Phone
- (540) 433-2623
- NPI assigned
- May 13, 2021
- Last updated
- May 13, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nathan Wallace
- Title
- Administrator
- Phone
- (540) 433-2623
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
1225 Reservoir St
Harrisonburg, VA 22801-4415
Mailing address
1225 Reservoir St
Harrisonburg, VA 22801-4415
Other names 1
- Harrisonburg Health & Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210823003335 | VA | Part A Provider - Skilled Nursing Facility | 6709281181 | Practice locations: Harrisonburg, VA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1770157919. Details of each certification follow.
Skilled nursing facility certification: CCN 495093
- Legal name
- HARRISONBURG OPERATIONS LLC
- Doing business as
- HARRISONBURG HEALTH & REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 19, 1975
- Last certification
- May 26, 2022
- Beds
- 180
- Ownership / control type
- Federal
- Multi-facility organization
- HARRISONBURG OPERATIONS LLC
- Most recent change of ownership
- May 28, 2021
- Organization structure
- LLC
- Incorporated
- Mar 4, 2021 in NV
- Enrollment address
- 1225 Reservoir St
Harrisonburg, VA 22801-4415 - Nursing home name
- HARRISONBURG HLTH & REHAB CNTR
- Affiliated entity
- LIFEWORKS REHAB
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Harrisonburg HLTH & Rehab CNTR
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Feb 19, 1975
- Medicare certification status
- Active
- Certified beds
- 180
- Chain
- Lifeworks Rehab
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 3
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 14
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Charles 1994 & Family LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 23.75% |
| Edward 1998 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 22.56% |
| Harrisonburg Holdings I LLC | 5% Or Greater Direct Ownership Interest | May 28, 2021 | 100% |
| Matthew Brooks | W-2 Managing Employee | Sep 11, 2023 | 100% |
| Saul 2012 LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 23.75% |
| KSS 2000 Family Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 10% |
| Saul 2012 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 22.56% |
| ML 2000 Family Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 10% |
| America West LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 100% |
| Charles 1994 LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 22.49% |
| Redrock West LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 75% |
| MRV West LLC | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 25% |
| Charles 1994 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest | May 28, 2021 | 21.37% |
| Rczbm West Manager LLC | Operational/Managerial Control | May 28, 2021 | 100% |
Facilities with the same owner 8
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Berkshire Health & Rehabilitation Center
- Skilled Nursing Facility
- Vinton, VA
- NPI 1861076044
America West LLC, Charles 1994 & Family LLC, Charles 1994 LLC, KSS 2000 Family Trust, ML 2000 Family Trust, MRV West LLC, Rczbm West Manager LLC, Redrock West LLC, Saul 2012 LLC
-
dba Franklin Health & Rehabilitation Center
- Skilled Nursing Facility
- Rocky Mount, VA
- NPI 1154905354
America West LLC, Charles 1994 & Family LLC, Charles 1994 LLC, KSS 2000 Family Trust, ML 2000 Family Trust, MRV West LLC, Rczbm West Manager LLC, Redrock West LLC, Saul 2012 LLC
-
dba Gretna Health & Rehabilitation Center
- Skilled Nursing Facility
- Gretna, VA
- NPI 1306420500
America West LLC, Charles 1994 & Family LLC, Charles 1994 Family Grantor Trust, Charles 1994 LLC, Edward 1998 Family Grantor Trust, KSS 2000 Family Trust, ML 2000 Family Trust, MRV West LLC, Rczbm West Manager LLC, Redrock West LLC, Saul 2012 Fa
-
dba Pulaski Health & Rehabilitation Center
- Skilled Nursing Facility
- Pulaski, VA
- NPI 1114591385
America West LLC, Charles 1994 & Family LLC, Charles 1994 Family Grantor Trust, Charles 1994 LLC, Edward 1998 Family Grantor Trust, KSS 2000 Family Trust, ML 2000 Family Trust, MRV West LLC, Rczbm West Manager LLC, Saul 2012 Family Grantor Trust
-
dba Raleigh Court Health & Rehabilitation Center
- Skilled Nursing Facility
- Roanoke, VA
- NPI 1528632700
Charles 1994 & Family LLC, Charles 1994 LLC, KSS 2000 Family Trust, ML 2000 Family Trust, Rczbm West Manager LLC, Redrock West LLC, Saul 2012 LLC
-
dba Salem Health & Rehabilitation Center
- Skilled Nursing Facility
- Salem, VA
- NPI 1952975138
America West LLC, Charles 1994 & Family LLC, Charles 1994 Family Grantor Trust, Charles 1994 LLC, Edward 1998 Family Grantor Trust, KSS 2000 Family Trust, ML 2000 Family Trust, MRV West LLC, Rczbm West Manager LLC, Redrock West LLC, Saul 2012 Fa
-
dba Springtree Health & Rehabilitation Center
- Skilled Nursing Facility
- Roanoke, VA
- NPI 1750955936
America West LLC, Charles 1994 & Family LLC, Charles 1994 LLC, KSS 2000 Family Trust, ML 2000 Family Trust, Rczbm West Manager LLC, Redrock West LLC, Saul 2012 LLC
-
dba Stanleytown Health & Rehabilitation Center
- Skilled Nursing Facility
- Bassett, VA
- NPI 1376117556
America West LLC, Charles 1994 & Family LLC, Charles 1994 Family Grantor Trust, Charles 1994 LLC, Edward 1998 Family Grantor Trust, Redrock West LLC, Saul 2012 Family Grantor Trust
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620864000000",
"number": "1770157919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 RESERVOIR ST",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "228014415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 RESERVOIR ST",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "228014415",
"telephone_number": "540-433-2623"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARRISONBURG OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-13",
"last_updated": "2021-05-13",
"certification_date": "2021-05-13",
"status": "A",
"authorized_official_last_name": "WALLACE",
"authorized_official_first_name": "NATHAN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "540-433-2623"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Harrisonburg Health & Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Harrisonburg, VA
- Harrisonburg Family Chiropractic, LLC
- Harrisonburg Family Practice Associates PC
- Harrisonburg Foot & Ankle Clinic, PC
- Harrisonburg Medical Associates
- Harrisonburg OB GYN Associates PC
- Harrisonburg Pediatric Dentistry
- Harrisonburg Pediatrics PC
- Harrisonburg Pharmacies Inc (Harrisonburg Pharmacy)
- Harrisonburg Pharmacies Inc (Park View Pharmacy)
- Harrisonburg Physicians for Anesthesiology
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.